Saturday, August 31, 2019

Charter Change in the Philippines

Summarize the article — Before summarizing the article:CHACHA needed for inclusive growth. I would like you to know that some sentences below are taken from the article. Thus, I do not account any ownership on some other lines. The article is about Charter change (CHA-CHA) must be pushed in the Philippines. It sites that our Constitution, is not welcoming foreign investors to our mass media and advertising, public utilities, educational institutions, land ownership, and exploitation of natural resources.The good news is, letting foreign investors to invest only in our stock market, not in actual capital goods and fixed investments. Moreover, our president compared our country to China who can afford to be restrictive of land ownership. This proves that we can also have a growing rate. However, the government of China is more efficient than ours in implementing infrastructure projects. On the other hand, changing our constitution can be very simple, according to Feliciano Belmo nte, â€Å"What the legislators can do is to append the phrase â€Å"except when otherwise provided by law† to all the restrictive economic provisions.†Though, it sounded simple, As the critics say, any unlimited ability to buy land could enable the rich Arabs or the Chinese to buy all the 7,100 islands of the Archipelago. Also, Bernardo M. Villegas suggest that the new Foreign Investments Act should allow a 49 percent foreign ownership also to assure the preservation of certain national values that could be endangered in the hands of foreigners who may espouse such counter values as abortion, divorce and gay marriages.All in all, the massive entry of foreign investors – regulated by the Foreign Investments Act – can do much to make all the sectors of the Philippine economy more competitive, with the resulting benefits to consumers in the form of lower prices, higher quality of goods or services and greater productivity from the technology that foreigners will bring with them. Explain why you agree or disagree. Discuss your reaction — At first, I disagree to Charter change or also known as CHA-CHA. We all might be interested to inclusive growth, increase investment in infrastructure and GDP.But let us try look to on the other side. Like, what are the possible consequences we may face? We all know that allowing CHACHA means letting foreigners/outsiders to take advantage on us. Allowing them to buy and be part of our mass media and advertising, public utilities, educational institutions, land ownership, and exploitation of natural resources. In short, we are giving them a chance to rule over our country. However, I tried to read more about CHA-CHA. As I have been reading, I realized that I am over thinking of national security.And so, I started to agree with CHA-CHA. Basically right from the start, we are allowing ourselves to be part of CHA-CHA. The question is how? According to the website I have read at â€Å"Technology and globalization have also rendered those Constitutional prohibitions meaningless. In the age of the Internet, satellite television and social media, Filipinos are consuming their media content from sources all over. We can listen to a radio, watch movies, and read newspapers without even going through a â€Å"Filipino-controlled† media outfit.Moreover, people can even attend lectures and get a degree from a foreign university online. Therefore, these Constitutional prohibitions are such anachronisms and must be removed. † This affected me very much, I realized that CHA-CHA is not so bad at all. With this, we can modernize our political and economic institutions. All in all, I agree and disagree at the same time. Why is there a need for charter change? – After reading articles on the internet, I have understood that: Charter change (CHA-CHA) will improve and revise our constitution.It is to reform some law and Article. I am not saying that some Article is wrong, bu t what I’m trying to say is that our constitution will be better if Charter change (CHA-CHA) will be pushed. Moreover, here are some laws and Article that needs to be pushed/made: (1) in our 1987 Constitution, there is no Anti-Trust law that prohibits monopoly and encourages competition between businesses. (2) Article XII: Protectionism, which makes the Philippines most restrictive in foreign investment. (3) Federalization, this will spread the economic wealth throughout the country.The reason why the Manila is very congested, is because of the unhealthy spread economic wealth, this is because there aren’t much jobs offered in some regions and so most country men are forced to migrate in Manila which is becoming more congested. And those are the three laws and Article that I want to push through. Furthermore, I believe that with Charter change (CHA-CHA ) our country will improve its education, infrastructures, public utilities, and exploitation of natural resources. Wi th these we will be able to increase our inclusive growth, increase investment in infrastructure and GDP.And so I believe that we need to push through Charter change (CHA-CHA ). How can such change jumpstart the economy? Charter change will be very helpful to improve our economy. Charter change (CHA-CHA ) attracts foreign investors, with these we will be able to increase our inclusive growth, increase investment in infrastructure and GDP. But the question is how? Like I said before, CHA-CHA will increase our foreign investors. These foreign investors will create businesses here that will need workers. And those workers will be us. Other than an increase in our investment it will also be a job opportunity for every Filipino.If there are job oppurtunities in our country, then it means that there will be a decrease of OFW. The 100-percent ownership requirement for media companies, including similar restrictions on the advertising industry, easily come to mind. Such prohibitions deny ou r media companies the chance to get foreign capital they need to be world class. I recall that those restrictions were imposed out of fear that our people will be subjected to unwanted foreign media influence. Well, in the age of satellite communications and cable television, that objective will not be met anyway.They just beam their programs to us from Hong Kong and Singapore, with both benefiting from their investments. We are simply a market that outflows dollar payments to them. The 60/40 limitation on ownership of public utility companies is another outdated mandate. Given the enormity of investments needed in these types of companies that are impossible to raise in this country, a properly regulated 100-percent foreign ownership should be beneficial to our consumers. Indeed, it is the only way to provide effective competition to home-grown monopolies.I also have no problems with liberalized citizenship rules. We are now a nation in diaspora, pretty much like the Jews. We are s cattered all over the world not because we want to, but because we have to earn a li-ving somehow. A piece of paper does not define who a Filipino is. The sense of being Filipino is in the heart. Since overseas Pinoys also have economic clout, they could play a key role in raising needed capital for our economic development. Jews in America enjoy dual citizenship and they contribute greatly to Israel’s economy.Why not similarly tap our Fil-Am brothers and sisters and all Pinoys elsewhere by allowing them dual citizenship? They are real Pinoys by blood and sentiment. On the form of government, I am ready to try a real parliamentary system. The semi-parliamentary experiment of Mr. Marcos does not count since the government system then was essentially dictatorial. I initially thought we need a Senate for the sense of statesmanship needed to temper our legislature. But electing a statesman to the Senate has become difficult these days. We have showbiz personalities being elected more out of popularity than ability.And with the cost of getting elected nationally now out of hand, the Senate as a concept no longer works. Let’s have a unicameral body that will at least save us time and money. A parliament working under the leadership of a Prime Minister will have full responsibility for running the government and passing the needed legislative measures. Hopefully, there will be no more buck passing. Failure is failure and the Prime Minister and his government must take full responsibility. A good Prime Minister can serve beyond the six-year presidential term.A bad one can be thrown out into the streets in a month without having to do another People Power event on EDSA. We can still elect a basically symbolic President who is the head of state. This will allow the masa to still directly vote for Fernando Poe Jr. or even Dolphy and do little damage to the functioning of government. With the President’s function limited to such ceremonies as acceptin g the credentials of ambassadors and hosting visiting dignitaries in state dinners, even a charming moron who has the minimum ability to read a ghost written speech can be President.That way, the country need not worry about an Erap disaster, i. e. , bestowing enormous responsibility on a total incompetent, happening again. A constituent assembly composed of the present members of Congress should do just fine. I don’t believe a specially elected constitutional assembly would be better or any different. We will only spend good money to elect the relatives and friends of the current members of Congress simply because that’s the power structure nationwide. Besides, a constitutional convention will likely prolong its job and will want to rewrite the entire Constitution.The last thing we need is another deliberative body and endless debates. Talk, contrary to popular belief, is not cheap. We only need a few key amendments. We only have to give the constituent assembly a nar row mandate in the joint resolution to amend specific provisions and nothing more. Let us also stop this nonsense of accusing GMA or JDV of wanting charter change so they can be Prime ministers. They have both said they are not interested. Even if they are, so what? It is a new ball game and maybe with new rules, they can be more effective. For now, let’s take their word for it so we can move on.I will concede that it would be better if our political parties are ideologically different from each other. But we just have to get started now or we will never get there. Maybe, eventually we can have a real choice of party ideologies. In the meantime, we need the new basic rules and the political stability of not having to worry about another EDSA toppling a president. Even if we have to change Prime Ministers every month in the beginning, that would be less stressful to investors than the EDSA system which involves the armed services in an extremely painful process of leadership c hange.Let us not complicate this charter change business with extraneous baggage. We need some changes just so we can be economically competitive. While none of these changes constitute a cure-all and none is as good as a radical change of attitude in every Filipino’s heart, a few well chosen amendments can give the economy a jump start. We don’t have the luxury of time to debate these vital changes to death. Let’s get moving fast before things really get out of hand as in Joma returning home and not necessarily in hand cuffs.

Friday, August 30, 2019

Emotional Turmole in Frankenstein Essay

Emotions are the energy that undermines people’s actions; while their mind is irrational and lucid, everyone is subjected to emotions. In Mary Wollstonecraft’s novel Frankenstein, she displays how Dr. Victor Frankenstein and the Monster experience a variety of emotions , feelings of Shame, Happiness, and Pain are all felt by the two main characters as they venture throughout the story. Victor Frankenstein and the monster both experience shame. For example when Victor illustrates shame is when he decides to create an animated monster but was cared of his own creation, once his monster sprung to life. Victor saw the monsters pale yellow skin and monstrous eight feet high and was disgusted by it and was shamed of what he created. He abandoned his creation hoping it would disappear. Another example of when Victor shows shame was when Victor’s life was threatened by the monster because the monster wanted a female friend and forced Victor to create another monster. Victor starts to build on the monster in a remote island in Scotland but is ashamed his own selfishness; building another monster to save imself when the monster could case destruction and death on other humans Just like how his original creation killed his brother, William Frankenstein died. In anger at himself he tears up his half created monster. The monster also shows shame. The monster shows shame when he looks into the water of the pond and sees his own reflection and exclaims in agony â€Å"Why did you form a monster so hideous† (93). The monster realizes that he is hideous and is ashamed of himself. He is then struck with anger and seeks revenge on Victor for giving him a repulsive face. Another example when he demonstrates shame was when he passed by the town and the people would shriek and hit him. Learning from that experience he did not go into town again and became ashamed of himself so he hid in the forest, sheltering himself in the dirt hovel that was next to the cottage of the DeLacey family. Victor and the monster also experienced happiness but it doesn’t last long. The first time Victor was ever truly happy was when he was a child and he was also content when he was with his girlfriend and soon to be wife, Elizabeth Lavenza. Another moment of happiness for Victor was when he finished his creation that he has been working on for two years. He describes it as â€Å"Beautiful! -Great God!†¦ his teeth of pearly whiteness†¦ † (35). The monster shows happiness too when he is around nature, he appreciates and is happy with nature because nature is the only thing that doesn’t make insult him for his looks. His was also blissful when he demanded Victor to make him a mate and Victor agreed. Victor and the monster additionally feel pain; emotionally and physically. Victor first feels emotional pain when his mom and his best friend Henry died. Victor undergoes emotional pain when Justine was executed and Victor becomes increasingly melancholy. He considers suicide but restrains himself by thinking of Elizabeth and his father. Another example is when Felix DeLacey hits the monster Molently with a stick† (97) in fear that the monster will harm his family . The monster suffers pain when he is like a newborn, still clue less to the new world he is in and decides to touch he tire that is warm and soothing. He soon discovers the tlames could burn his hands. The monster also goes through emotional pain when Victor Frankenstein dies and the monster cries for him because the monster has no purpose in life and is emotionally frustrated. Both characters experience a series of emotions and have each changed emotions in comparison this are very similar yet they are very different. As both characters experienced pain, happiness, and shame it greatly affected their lives and how they behaved to each other.

Thursday, August 29, 2019

Middle Cerebral Artery Stroke Health And Social Care Essay

Stroke is a complex neurovascular disease caused by multiple mechanisms that result in a break of normal intellectual blood flow. Harmonizing to Kockrow and Christensen ( 2011 ) , ischemic in-between intellectual arteria shot is an unnatural status of the blood vass in the encephalon, characterised by bleeding into the encephalon of the formation of an embolus or thrombus that occludes the in-between intellectual arteria, ensuing in ischemia of the encephalon tissue usually perfused by the damaged cells. The in-between intellectual arteria supplies the largest volume of the cerebral hemisphere, including the basal ganglia, the internal capsule, and the ocular radiations from the thalamus ( Mitchell & A ; Moore 2004 ) . The disrupted blood flow in the MCA causes intellectual disfunction. Cerebral blood flow has an autoregulatory mechanism that protects against hypoxia and low perfusion ( Johnson 2012 ) . When intellectual blood flow decreases, there is addition in blood force per unit area and vasodilation occurs as the autoregulatory mechanism attempt to counterbalance ( Johnson 2012 ) . If the blood flow falls below a critical degree, intellectual blood volume is reduced and infarction occurs. Johnson ( 2012 ) explains that the deficiency of foods usually received from oxygenated blood and the harm which is caused by unexpected shed blooding into or around the encephalon taking to cell decease. Cerebral ischaemia initiates a figure of damaging cellular events enduring which consequence in monolithic cell decease and tissue harm beyond the country originally affected by the deficiency of blood flow ( Kockrow & A ; Christensen 2011 ) .Tissue plasminogen activator is a serine peptidase which converts plasminogen to plasmin, a fibrinolytic enzyme ( McElveen & A ; Macko 2009 ) . Upon disposal, recombinant TPA increases plasmin enzymatic activity, ensuing in fibrinolysis ( Harvey 2009 ) . It is used to handle the shot in the acute phase to reconstruct flow to the is chaemic country. In ischemic stroke the dead or deceasing cells are surrounded by the penumbra-an country of cells at hazard of or enduring ischemia as explained by Harvey ( 2009 ) . Cells busying the penumbra are ill perfused and as a consequence become progressively ischemic ( Mitchell & A ; Moore 2004 ) . Circulation can be improved when TPA is administered within 3 hours in an acute ischemic shot ( Elkind 2009 ) . This will besides assist to understate decease cells in the penumbra. Collins ( 2007 ) states that the usage of TPA halts the shot by fade outing the coagulum that is barricading blood flow to the encephalon. When suitably administered to patients who fall within narrow clinical guidelines, TPA can restrict the extent of encephalon hurt and better results after shot ( Johnson 2012 ) .Describe the functions of four members of the multidisciplinary squad ( other than nursing ) who will care for Mrs Carroll.The function of the squad is to supply holistic attention which r ealistically develops of import ends for Mrs Carroll and her household, whilst testing for shot complications and trouble-shooting as jobs nowadayss.Address DiagnosticiansThe address healers have established function for measuring swallow map every bit good as address ( Lindley 2008 ) . Regular address therapy can better the result after shot. Therapy begins without hold after a shot ( ideally the following on the job twenty-four hours ) and involves Sessionss of 1-2 hours per twenty-four hours as explained by Funnel, Koutoukidis & A ; Lawrence 2009. The address healers are concerned with assessing, naming and handling communicating upsets, such as formation and perceptual experience of address, the ability to joint words and to understand and originate address ( Freeman 1998 ) . The address healer will help Mrs Carroll to re learn communicating accomplishments. The address diagnostician will besides intercede closely with the nurse, dietician and household to accomplish safe swallo wing schemes for Mrs Carroll.Physical therapistsThe physical therapists will measure Mrs Carroll physical capablenesss and restrictions in a collaborative procedure ( Funnel, Koutoukidis & A ; Lawrence 2009 ) . The physical therapist administers therapies designed to rectify or understate malformation, addition strength and mobility or relieve uncomfortableness or hurting ( William, Perry & A ; Watkins 2010 ) . Stroke rehabilitation comprises of exercising intercession, to understate the effects of the encephalon cell harm and optimise re-learning as stated by Lindley ( 2008 ) . William, Perry & A ; Watkins ( 2010 ) explain that the interventions include the usage of specific exercisings, heat, cold, aqua therapy and electro physical therapy. The function of the physical therapist besides involves educating Mrs Carroll and her household in right methods of placement, reassigning and call uping to help with the discharge.Occupational healersThe occupational healers aim is to help Mrs Carroll to be independent in executing activities of day-to-day life ( Lindley 2008 ) . Freeman ( 1998 ) explains that the occupational healers will find Mrs Carroll ‘s ability to execute basic activities of life such as lavation, dressing and feeding. Their function includes the appraisal of basic and more advanced functional activities ( Funnel, Koutoukidis & A ; Lawrence 2009 ) . The occupational healer plants on specific undertakings in coaction with nursing staff and physical therapists ( William, Perry & A ; Watkins 2010 ) . This involves a period of appraisal including the ability to understand instructions followed by specific preparation in basic ADLS ( William, Perry & A ; Watkins 2010 ) . As Mrs Carroll has adequate motor recovery to keep sitting balance the occupational healer starts working on basic lavation ( e.g. rinsing the face, cleaning dentitions ) . As recovery returns, more complex undertakings can be assessed and practised such as showers transportations , acquiring on and off the lavatory. The occupational healers assess the demand for, and supply, adaptative devices to advance independency with bathing, eating and dressing. Home alterations are besides assessed by the occupational healers to guarantee that the place environment is safe and contributing to Mrs Carroll ‘s independency degree as elucidated by Funnel, Koutoukidis & A ; Lawrence 2009.PsychologistsPsychologist has an of import function in assisting Mrs Carroll towards a successful recovery. Their expertness is peculiarly utile in measuring temper, depression and assisting Mrs Carroll through hard accommodation periods by pull offing her choler and other hurt ( Funnel, Koutoukidis & A ; Lawrence 2009 ) . The psychologist is concerned with the causes, bar and intervention of the single societal jobs particularly in respect to interaction between Mrs Carroll and the physical and societal environment ( Lindley 2008 ) . The psychologists will help the rehabilitation sq uad with schemes to pull off Mrs Carroll ‘s behavioral perturbations that impact on the twenty-four hours to twenty-four hours rehabilitation procedure ( Freeman 1998 ) .3. Describe the schemes that may assist active engagement of the patient and household in the rehabilitation plan.The active engagement of Mrs Carroll and her household has a important function to play after her shot. Their support will be of great comfort for Mrs Carroll and when the shot has caused major jobs, their aid in the recovery procedure is a cardinal portion of good shot attention ( Funnel, Koutoukidis & A ; Lawrence 2009 ) . The household need to understand and be involved with the rehabilitative ends that Mrs Carroll has developed with the squad and the methods selected to run into these ends as explained by William, Perry & A ; Watkins ( 2010 ) . This can include acquiring the household members to reenforce peculiar preparation Sessionss and developing the household to pull off Mrs Carroll with a position to dispatch for illustration learning techniques to reassign Mrs Carroll from bed to wheelchair or acquiring Mrs Carroll into a attention safely ( Funnel, Koutoukidis & A ; Lawrence 2009 ) . This will enable them to experience that they are playing a critical function in rehabilitation. Family members need to understand that their greatest part may be to let Mrs Carroll to be every bit independent as possible ( Gillespie & A ; Campbell 2011 ) . Another scheme that will assist the active engagement of the household is household conference with the multidisciplinary squad and the physician where they will have specific information on the type of shot that affected Mrs Carroll and about her advancement as illustrated by Popovich, Fox, & A ; Bandagi ( 2007 ) . Working with Mrs Carroll and her household will assist Mrs Carroll to accomplish realistic ends in their shot journey. It is besides really of import to learn the household techniques to heighten safety and communicating ( Funnel, Koutoukidis & A ; Lawrence 2009 ) . Family members can besides supply valuable information about Mrs Carroll ‘s usual life style. The household members can help in reorienting Mrs Carroll to the affected side and implementing safety safeguards. It is besides of import for the household to be cognizant of the shortages and intercessions appropriate for Mrs Carroll ( Lindley 2008 ) .4. Mrs Carroll ‘s defeat with motor activities and address make her angry. Discuss how choler may be used to ease effectual header and how rehabilitation nurses can enable patients to utilize their energy therapeutically.Nursing intercessions to ease emotional accommodation to stroke should include hearing, detering self-blame, promoting Mrs Carroll to verbalize her feelings, advancing independency, assisting Mrs Carroll reappraise her state of affairs, and show credence and acknowledgment of her advancement as highlighted by William, Perry & A ; Watkins ( 2010 ) .It is of import tha t early marks of uneffective header to be detected so that patients at hazard for depression may be assessed and treated. The psychologist can besides help in supplying get bying schemes for nurse and speech healer to pull off Mrs Carroll ‘s defeat and choler ( Funnel, Koutoukidis & A ; Lawrence 2009 ) . By back uping Mrs Carroll, instead than taking her, the nurse can assist her to gain her restrictions, consolidate loss and authorise her to be after for a hereafter that will be fulfilling to her.The construct of hope can be characterized by an unsure desire to accomplish ends that will let Mrs Carroll to set and travel end stations when transmutations occur as explained by Western ( 2007 ) . An achieved end or success against a nerve-racking experience creates an immediate sense of peace and good being and a generalized hope emerges for future successes harmonizing to Popovich, Fox, & A ; Bandagi ( 2007 ) . Hope is of import to recovery as it gives persons the motive and str ength to accomplish their ends ( Western 2007 ) . Empowerment so can be seen as a agency of assisting persons to recognize and accomplish their ends. Mrs Carroll becomes frustrated when she can non pass on, but alternatively of retreating from the conversation the nurse should promote her to do regular efforts to pass on with the squad and household. Hence her address will better daily and this will assist to accomplish her set ends ( ( Funnel, Koutoukidis & A ; Lawrence 2009 ) .5. Describe the medicines that Mrs Carroll is taking and discourse the grounds for administrating these medicines in his current status. Why should a cholesterin lowing agent be considered for Mrs Carroll?MetforminHarmonizing to Tiziani ( 2010 ) , Mrs Carroll was prescribed Glucophage as she has a history of Type 2 diabetes. Metformin acts chiefly by diminishing the production of glucose in the liver as described by Bullock and Manias ( 2011 ) . It besides slows soaking up of glucose signifier the intestine, inhibits glucagon secernment and tissue glycolisis ( Lindley 2008 ) . This medicine is prescribed when the blood sugar degree can non be controlled with diet alone ( Lindley 2008 ) .Avapro HCTThis medicine is used to handle mild to chair high blood pressure explained by Tiziani ( 2010 ) . The combination of a thiazide water pill ( hydochlorothiazide ) and angiotensin receptor adversary produces a greater decrease in blood force per unit area ( Tiziani 2010 ) .Irbesartan blocks the potent vasoconstrictive and aldosterone-secreting effects of angiotonin II by selective hostility of the angiotonin II receptors localized on vascular smooth musculus cells and in the adrenal cerebral mantle ( Bullock & A ; Manias 2011 ) . Hydrochlorothiazide increases plasma renin activity, increases aldosterone secernment, and decreases serum K. Coadministration of an angiotonin II receptor adversary tends to change by reversal the K loss associated with thiazide water pills ( Bullock & A ; Manias 2011 ) . This medicine will assist to take down Mrs Carroll ‘s blood force per unit area.ClopridogrelThis medicine is used to forestall thromboembolic events, ischemic bosom disease and bar of shot ( Tiziani 2010 ) . Harmonizing to Bullock and Manias ( 2011 ) , it inhibits thrombocyte collection by irreversibly adhering to adenosine disphosphate thrombocyte receptor. Mrs Carroll has a past history of atrial fibrillation and she has a high hazard of shot from embolisation of cardiac thrombus ( Freeman 1998 ) . This medicine will cut down the hazard of holding a shot. Mrs Carroll ‘s LDL cholesterin degree is high and this increases the hazard of ischemic shot and bosom disease ( Lindley 2008 ) . A cholesterin take downing agent should be considered for Mrs Carroll to assist forestall farther vascular disease ( Mitchell & A ; Moore 2004 ) . William, Perry & A ; Watkins ( 2010 ) explain that the lower the blood cholesterin, the lower the subsequent hazard of ischemic shot and other thrombotic vascular disease. The cholesterin take downing agent has the ability to brace atheromatic plaque, cut down thrombogenicity every bit good as its consequence on dyslipidaemia ( Tiziani 2010 ) .6. What are the advantages and disadvantages of get downing Mrs Carroll on medicine to command her urinary incontinency?Harmonizing to Bullock and Manias ( 2011 ) , anticholinergics interfere with the parasympathetic excitations of the detrusor musculus by barricading the neurotransmitter acetylcholine, ensuing in fewer nonvoluntary contractions ( . One of the disadvantages of utilizing medicine to command her urinary incontinency is that it causes hazard of mental confusion ( Tiziani 2010 ) . Her cognitive operation has decreased since she had the autumn, hence this medicine will do it worse. Anticholinergics medicine additions hazard of terrible irregularity, Mrs Carroll suffers from irregularity already this medicine will increase the hazard of holding intestine obstructor. Furthermore, bladder preparation can better urinary incontinency and encouraging Mrs Carroll to utilize medicine will cut down her independency and motive ( Lindley 2008 ) . Mrs Carroll might experience embarrassed to go to therapy due to her urinary incontinency. Therefore she could decline therapy and this will non assist in the recovery procedure. Urinary incontinency may do clamber dislocation and roseola due to extra of wet in the genital-perineal country ( Borleis 2012 ) . This medicine will besides cut down the hazard of Mrs Carroll acquiring a urinary piece of land infection as she would non necessitate to travel to the lavatory more frequently. Furthermore, good continency attention plays a cardinal function in assisting to reconstruct Mrs Carroll self esteem and independency ( Freeman 1998 ) . The medicine will besides assist Mrs Carroll to come on with vesica preparation ( William, Perry & A ; Watkins ( 2010 ) .7. Mrs Carroll had a strong spiritual religion prior to her shot but has since refused to see the Priest or members of her church. What intercessions might you implement to assist her recover her religious well being?Mrs Carroll might b e embarrassed to run into her friends due to her status. First I would try to find the ground ( s ) for the hurt, and back up the Mrs Carroll to analyze her beliefs and values ( Tanyi 2006 ) . Supply research-based grounds to Mrs Carroll about the positive impacts of spiritualty on her wellness and operation ( Tanyi 2006 ) . Spending one on one clip with her and assist her to reflect back on her past religious well being might assist in cut downing her religious hurting.I would mention Mrs Carroll to a societal worker who may mention her farther to a psychologist ( Lindley 2008 ) . Her religious well being might non be straight related to her faith. Involve her in a speculation group with other patients who had stroke to assist her talk about her state of affairs. I would easy present one friend at a clip and see how she reacts to that. It is besides really of import to let Mrs Carroll to grief for the loss of what her life was and guarantee that she is cognizant that the nurse is a t that place to assist her. Pastoral attention services are inter-denominational and will be able to offer religious attention to Mrs Carroll ( Funnel, Koutoukidis & A ; Lawrence 2009 ) .8. How does the nurse utilise patient information obtained during admittance to help in the acknowledgment of discharge demands? What community resources would you see to assist Mrs Carroll and her hubby?A thorough nursing appraisal obtained during admittance enables the nurse to place existent and possible jobs of Mrs Carroll ( Fawcett & A ; Rhynas 2012 ) . Discharge planning is critical to advance good being and maximal recovery ( Freeman 1998 ) . On admittance, it was identified that Mr Carroll is really dependent on his married woman and that he is due for an operation in two hebdomads. Furthermore, they live in a two floor three sleeping rooms townhouse which will non be ideal for her when she come back from infirmary due to her limited mobility. To guarantee continuity of attention, the interd isciplinary procedure start on admittance by interceding with the societal worker, occupational healer, physical therapist and societal web as explained by Lindley ( 2008 ) . Mrs Carroll is active in the community and she besides has supportive friends within the Parish Community. The community can besides organize a support group for shot patients to run into other people from the community who understand what you have been through. A resource battalion can be developed for Mr Carroll supplying inside informations of community services and benefits available. On discharge, guarantee good links and information sharing between the infirmary and community squads, and between wellness and societal attention suppliers. Arrange chances for shot subsisters and households to run into cardinal community staff such as territory nurses and stroke affair nurses before discharge ( Gillespie & A ; Campbell 2011 ) .9. Mrs Carroll was an active member of his community but now has limited address. Describe any schemes you could utilize to help communicating and the discharge instruction you would supply to her hubby sing her communication with others in societal state of affairss.Communication troubles can significantly impact quality of life and cause hurt and defeat for households, friends and the patient ( Speech Pathology Services 2012 ) . A broad scope of schemes can back up communicating such as taking distractions when speaking to the patient as explained by Speech Pathology Services 2012. The usage of different sorts of communicating such as gesture, indicating or composing will assist to understand Mrs Carroll ( William, Perry & A ; Watkins 2010 ) . The nurse should explicate to Mr Carroll that it is really of import to talk in short sentences, easy and in a respectful tone with normal volume. When pass oning with Mrs Carroll, the individual should let excess clip to treat the information and repetition the message or state it in another manner ( Speech Pathology Ser vices 2012 ) . The usage of communicating devices will besides advance comprehension and apprehension ( Freeman 1998 ) . Communicating with his married woman could be really frustrating, it really of import for him to stay unagitated and patient. It is indispensable to supply accessible information for Mrs Carroll and her household on the peculiar type of address damage that Mrs Carroll has to heighten apprehension and assistance communicating ( William, Perry & A ; Watkins 2010 ) .10. Complete an admittance and discharge FIM for Mrs CarrollPlease see affiliated

Wednesday, August 28, 2019

Manuscript Draft and Proposal Coursework Example | Topics and Well Written Essays - 3750 words

Manuscript Draft and Proposal - Coursework Example Performance Appraisal: A Workplace Dilemma All across the country supervisors have been evaluating their employees on a regular basis. These evaluations often become ground or justification for granting a raise, promotion, retention, or even termination. In the case of termination, or denial of promotion, objectivity becomes of paramount importance. Performance appraisals or evaluations are crucial element of the maintenance function of human resources management. Through it, the employee should receive one’s due share of benefits in terms of remuneration, rewards and sanctions, psychological motivation, wholesome and safe working environment, among others. Performance appraisals are supposed to encourage continuance and stability, not only of the workers, but also of managerial personnel from the frontline to top management. The paper aims to examine and evaluate various practices and policies on performance appraisal systems and procedures as revealed by diverse authors whose researches have been published in peer reviewed academic journals. Likewise, the discourse hereby aims to proffer relevant issues that emerge on performance appraisal as a relevant organizational concern affecting both managers and employees. Diverse peer reviewed academic journals in the area of public personnel management and administration were evaluated in terms of determining parallel issues on the dilemma faced by both supervisors and employees when subjected to the process of performance evaluation. The preparation for the paper required significant reviews, analysis and evaluation of diverse secondary information on performance appraisals in public organizations. The results of reviewing academic journals on the subject are proposed to be presented in the following structure: a presentation of the major dilemma on performance evaluation as seen from two points of views: that of the employees being evaluated, and from the perspective of the managers or supervisors doing the ratings. Concurrently, there were studies that indicate a significant impact of receiving low ratings on employees in terms of future career plans and paths that employees choose to take and the effects on alternative decisions that face the emp loyees: the decision to leave; to seek reform; to stick with the organization; to drop out, or wait for better opportunities. Other relevant concerns such as the benefits of

Explain and Evaluate Psychodynamic and Humanistic Approaches Assignment

Explain and Evaluate Psychodynamic and Humanistic Approaches - Assignment Example There are the following categories in this approach: the psychoanalysis, analytical psychotherapy (named after Alfred Adler), Self Psychology (Heinz Kohut) and others (Brief Psychodynamic Therapy). Psychodynamic psychologists claim that human behavior is determined by three different parts of human psyche: id (biological drives), ego and superego. Unconscous is between the last two categories. Basically, the original theory of Sigmund Freud is that the main conflicts in human life were rooted in the human existence itself. These processes exert influence on human behavior subconsciously. The main principle of psychodynamic approach is that unconscious helps people to be better aware of an individual’s needs and behavior. Therefore, human beings are able to follow the way conflicts influence our lives. Another approach of Alderian psychotherapy is directed on people’s ability to overcome their emotions and feelings. It is also possible to direct clients’ striving for the social sphere or another kind of a human activity. Thus, people are able to change their behavior, correct their mistakes, behaviors and feelings. This approach of psychodynamics is based on a constant encouragement of individuals to reach confidence; a feeling of self-protection and self-enhancement and thus they would be able to make essential social contributions. Carl Jung is another representative of psychodynamic approach. His ideas are based on the important role of unconscious in the life of an individual, though he broadened his vision and added issues of mythology, concepts of culture etc. Thus, in accordance with the ideas of Jung, an individual has to achieve harmony of conscious and unconscious. Psychopathology developed by Heinz Kohut refers to the important role of childhood reminiscences in the life of an individual. The formation of a conscious self occurs in the process of projection of childhood’s reminiscences in the adulthood. Real life applicatio n of the theory It should be noted that in the real life this approach is applicable for any individual and this approach is considered to be rather effective. Psychological pathologies and irrational behavior of a client may be effectively treated with the help of psychodynamic approach. Nevertheless, such drawbacks as a lack of individual’s reminiscences from his past may prevent success of the therapy. Research methods Methods of psychodynamic approach are often criticized. Psychologists usually interpret data that support evident facts. Moreover, methods lack objectivity, because can be interpreted in a different manner. Psychodynamic approach is based on theoretical constructs, which are hard to interpret (e.g. unconscious). Still, the main advantage of this approach is its uniqueness in determining irrational human behavior. â€Å"Cure talking† of this approach is effective in irrelevant behavior correction (Chapter 7—Brief Psychodynamic Therapy). Humanist ic approach in psychology Humanistic psychotherapy implies a wide range of various issues related to a patient, such as his mind, body and spirit. The main difference of this approach from other psychological approaches is making an emphasis on subjective meaning and focus on positive change and not on pathology. Moreover, humanists underline the importance of subjective concerns in behavior of an individual. It also implies that each patient has his own abilities of self-healing. Abraham Maslow is the most important

Tuesday, August 27, 2019

Problem-solving proposals Essay Example | Topics and Well Written Essays - 1000 words

Problem-solving proposals - Essay Example These problems can be attributed to the actions and strategies instituted by all the previous CEOs (â€Å"Worst of 2012†). This topic is interesting as it gives an outlook on some of the important management issues relating to the business operations in the current business environment. Businesses need to make the relevant management changes to cope with the challenges in the internal environment including employee motivation and external environment such as increasing competition and dynamic customer demands. It is clear that there is lack of stability in the leadership, and this has made it complex for the company to maintain consistency in the company. It has been noted that each CEO has instituted more dramatic strategies than their predecessors, which have led to substantial changes in the company’s direction. The HP case study is one of a kind and has valuable lessons to managers and business students worldwide. Statement of the Problem Over the past few years, HP has lost approximately three quarters of their value, and this can be observed from its performance in the stock market (â€Å"Worst of 2012†). Any efforts to turn around the company’s deteriorating performance have proven to be futile. In the past ten years, the company has made efforts to transform its leadership and has lurched from one approach to another and recruited highly skilled leaders to amend the daunting problem of poor management. In 1999, the company brought on board Carly Fiorina whose main strategy focused on repositioning the company by taking the customers’ needs into account (â€Å"Worst of 2012†). It was under her leadership that the company made one of the most detrimental moves by entering into a merger with one of HP’s archrivals, Compaq. This was aimed at improving speed in preparation for the advent of the Internet era’ however, the strategy failed to meet the set objectives. HP then recruited Mark Hurd in 2005 to deal with the issue of decreasing profitably (â€Å"Worst of 2012†). The company experienced immense growth and increased revenues under the leadership of Mark Hurd. However, this was short lived in 2010 when he was suddenly suspended over sexual harassment allegations (â€Å"Worst of 2012†). This led to an upfront challenge to his predecessor as he would have to live up to Hurd’s exemplary reputation. The company then outsourced Leo Apotheker who worked at a Germany-based software company. Apotheker focused too much on software development and worked at the company for a short time (â€Å"Worst of 2012†). Currently, the company is under the leadership of Meg Whitman who is working tirelessly to solve the problems at HP. The third quarter earnings reveal that the company is not doing so well; however, Meg Whitman retorts that there are a lot of areas that need fixing. She claims that the company is at the initial stages of its take-off. Conversely, financ ial analysts are skeptical about this and argue that it could be a repeat of what has happened with predecessors. She states that HP is facing three major challenges including execution of proposed strategies, industry trends as well as macroeconomic problems. Presently, the company has a market capitalization of 46.92 B, revenue of 115.57 B, EPS – 6. 85 and from the PE ratio we can conclude that the

Monday, August 26, 2019

Unit 7 Essay Example | Topics and Well Written Essays - 500 words - 3

Unit 7 - Essay Example ith the baseline, I will be able to know the progress of the project and provide the manager with detailed, accurate data on the progress of the project. My plan will be to provide the manager with project progress report every Monday after the start of the project detailing the costs used for the week, the work done during the week, and the estimates of project progress for the coming week. The main tools that I will use in the course of reporting to the manager are interim and baseline plans basing on the data from the budget, cost, time, and duration estimates from the project plan. During the start of the financial year a new data management systems was being installed in the company and a colleague and I were tasked with the reporting of the progress of the project by the Management systems team to which I am the manager. Using baseline and interim plans, we were able to give weekly reports to the CEO over the six weeks duration of the project that was very successful. Every Monday morning, we ensured that we delivered a report to the CEO detailing finish date, work completed during the  previous week and present plans for undertaking in the coming week. The project was lauded by the CEO during the managers meeting after the system proved effective in managing the high data flow in the company. Problem solving skills are important for all team members because problem solving skills by all team members increases team productivity at the workplace, aids in avoiding recurrence of problems, and results in professional effectiveness (Butterfield, 2009). When each member has problem solving skills seeking alternative solution is easy, increases the ability to cooperate as a team for the achievement of set goals, aids in understanding the severity of a given problem, and evaluate strategies of using available resources as a team to resolve the problem. When problem solving skills is available on all members and not some it creates a conducive environment for

Sunday, August 25, 2019

The Effects of Mass Media on Society Research Paper

The Effects of Mass Media on Society - Research Paper Example One of these is video games which are products of man’s quest for excitement and entertainment. In this regard, this essay is written with the objective of determining the effects of video games on society. It would initially start on the origins of video games and rationale for playing video games. The discourse would also present the advantages and disadvantages of video games to find out their implications to the users and to society, as a whole. The exact date for the creation of video games could not be pinpointed due to its reference and interrelationships with people, games, companies and culture which actively influenced it. According to Herman, Horwitz, Kent & Miller (2009), video games started with Ralph Baer’s assignment of creating a television set incorporated with a game. They averred â€Å"it would take another 18 years for his idea to become a reality, and by that time there would be other people to share in the glory, like Willy Higinbotham, who designed an interactive tennis game played on an oscilloscope, and Steve Russell, who programmed a rudimentary space game on a DEC PDP-1 mainframe computer. And then there was also Nolan Bushnell, who played that space game and dreamed of a time when fairground midways would be filled with games powered by computers.† (Herman, Horwitz, Kent & Miller, 2009, par. 1) The golden age in video games was identified as spanning the years 1978 to 1981with the emergence of famous brands synonymous to video games such as Atari, Nintendo, Magnavox, Microvision and Intellivision, among others. (Herman, Horwitz, Kent & Miller, 2009, 3) The evolution continues until brands such as Sega, Game Boy Playstation and Xbox remain imprinted in the minds of millions of patronizers. But what exactly are video games? Allwords (2009) define video game as â€Å"a style of game existing as and controlled by software, usually run by a

Saturday, August 24, 2019

How technology, with particular emphasis on the internet and Essay

How technology, with particular emphasis on the internet and computers, has changed world culture - Essay Example However after the introduction of automobiles it can be seen that even the third world countries of Pakistan and Bangladesh have started using them. People nowadays prefer travelling in automobiles than travelling in these carriages. Computers and internet similarly have had a huge impact on the cultural values of people. Previously people believed in interacting with each other through different means but never was it known that these people would interact through the digital world soon. After the introduction of computers, internet has evolved as a massive force controlling a group of the society. People interact through internet so easily that many prefer using it as a medium for interacting other than anything. Previously the culture of meeting in real was common for people however as times have changed it can be seen that the culture has also changed. With the evolvement of internet social networking websites have been given a way to change the culture previously prevalent. Face book, MySpace and Twitter are some examples of these networking sites which allow people to interact through the digital world. People usually prefer sitting at their homes and interacting with their friends and family members through these networking sites. It is here that a conflict arises between the new culture and the old culture.

Friday, August 23, 2019

Sikhism Essay Example | Topics and Well Written Essays - 1250 words

Sikhism - Essay Example Some Sikhs believe their religion to be a purified Hinduism, but most consider it to be a direct revelation from God, with no connection to any other religion (Robinson, 2005). Whatever be its’ origins, Sikhism has emerged as a religion in its’ own right, with its’ unique history, beliefs, prayers, practices and concept of God. The word ‘Sikh’ in Punjabi is defined as ‘disciple’ and connotes a disciple of God. ‘Guru’ is a Sanskrit word for teacher. In Sikhism, the Gurus are considered to be Enlightened Masters. The Reht Maryada, the official Sikh Code of Conduct, defines a Sikh as any man or woman who believes in One Immortal Being, the ten Gurus, the Guru Granth Sahib- the holy book of the Sikhs, the teachings of the Gurus and the baptism introduced by the tenth Guru and does not owe allegiance to any other religion. The history of Sikhism is mirrored in the life of its’ Gurus. The first Guru was Guru Nanak Dev (1469 – 1539), who founded the Sikh religion. He was born into a Hindu family. He attained enlightenment at the age of thirty, while bathing in the river Bain and proclaimed the immortal words, â€Å"There is no Hindu, no Muslim.† He traveled extensively through the Indian subcontinent and the Persian Gulf, spreading his message of one, tr ue God through the medium of hymns and stories that would reach the common people. He was followed by Guru Angad Dev (1504 – 1552), who popularized the Gurmukhi script among the Sikhs and advocated a casteless society. He was succeeded by Guru Amar Das (1479 – 1574), who institutionalized the free Sikh communal kitchen, or langar, opposed the subjugation of women through the purdah and sati and supported widow remarriage. Through trained apostles, called Masands, he spread Sikhism throughout the country. The Fourth Master was Guru Ram Das (1534 – 1581), who founded the holy city of

Thursday, August 22, 2019

Dicussion questions Essay Example for Free

Dicussion questions Essay How do organizational functions affect organizational structures? How do your organization’s functions affect its organizational structure? How do organizational structures affect organizational functions? How does your organization’s structure affect its organizational functions? An organization is defined as a social unit of people that is structured and managed to meet a need or to pursue collective goals. The function of an organization directly relates to its structure. To succeed as an organization, all the functional areas must work together. There are different levels of structures: Vertical and Horizontal. Vertical organizational structures means a strict top down or bottom up structure (chain of command is important); horizontal, flat or closer to flat organizational structure (no leaders). While the organization I work for does not participate in any sort of sales, we do protect America through research and being knowledgeable in different aspects of careers. The Air Force follows a vertical organizational structure. There is always a person in charge of someone. To file a complaint, you have to start with the lowest level and work your way up. Organizational structures affect organizational functions depending on the main goal/strategy. The functions and structures of organizations go hand in hand. What are the different types of organizational structures? Which type of structure do you think is the most effective? Why is this structure the most effective? How can organizations determine if they are structured in the most effective and efficient manner? The different types of organizational structures are functional, divisional, and matrix. Functional structure is departmentalization around specialized activities such as production, marketing, and human resources. Divisional structure is departmentalization that groups units around products, customers, or geographic regions. Matrix structure is an organization composed of dual reporting relationships in which some managers’ report to two superiors –a functional manager and a divisional manager. The most effective structure is the matrix structure because it consists of the other functions, both of which would fail without them. Organizations can determine if they are structured in the most effective and efficient manner by analyzing how their business operates. Consider an organization in which you have worked. Draw it’s organization chart, and describe it by using terms from Ch. 8 of the text. Describe your experience with the organization. Did you enjoy working there? Explain your response. The experience I have had with the organization is good. Our organization makes charts for each unit’s supervision. Everyone knows who to contact in case of an emergency or if there is a problem with the chain of command. So far, I have enjoyed working for the military. I appreciate structure and reliability. What evidence have you seen of the imperatives for change, flexibility, and responsiveness faced by today’s firms? By firms becoming learning organizations they can be skilled at creating, acquiring, and transferring knowledge, and at modifying its behavior to reflect new knowledge and insights. Firms should also have a high-involvement organization, which top management ensures that there is consensus about the direction in which the business is heading.

Wednesday, August 21, 2019

Duke of Edinburg Adventurous Journey Report Essay Example for Free

Duke of Edinburg Adventurous Journey Report Essay The Duke of Edinburg Adventurous Journey Report It all started on the cool morning of July 31. After a delay of about 2 hrs, we finally got on the Volvo AC bus after having our modest breakfast in OIS. I felt great; the morning fresh air always suited me. The bus passed effortlessly through the jam less Dhaka streets. Once it got to Savar, I began to notice natural beauty of the highest quality. There were all kinds of plants and shrubs and delicately colored flowers. The green carpeted Savar Golf Course was the main attraction of our journey from Dhaka to Aricha. After an hours delay at the Aricha ferry ghat, it took us another hour to cross the river. The other half of our journey from ferry ghat to Khulna was torturous. Amid the sweltering heat of the shrouded sun, the AC of the AC bus kept breaking down and we were not in a position to actually appreciate the natural roadside beauty. Everyone was sweating and cursing inside the bus. And no one had the heart of taking pictures or tuning to a song. So the first emotion upon stepping out of the bus was one of relief; no one would want to repeat a bus journey like that! We reached the quarter where we would be saying for the better part of the next 2 days. Every one of us felt disappointed on seeing the small building surrounded by the wild. Compared to BARD, this place was like a jungle. We spent an hour for settling in our room and washing ourselves up. Then we took a 20 minute walk and our journey for the day was put to an end. The next day was full of adventures. We took a 2 hr walk before breakfast. The highlight of our adventurous journey came right after that. We took a bus to Bagerhat to visit the Sathgombhuj Mosque. The guide there told us some part of the history of the mosque and also gave us an insight on where the name of the mosque derived from. After a brief photo-session we went to Khan Jahan Ali Mazar; there we sat near the edge of the lake and took a little snack break of singara and Frutica. Some half an hour later another bus trip took us to Chadmahal. The place is a gem hidden deep in the heart of Bagerhat. It looked like a great place for family hangout. Apart from anything else there is a zoo, an astounding 3-storey marble-studded building and an underwater entrance to the building. After our short visit to Chandmahal, we took our survey of the local people, as instructed and then went back to our resting place. After a day full of work, it was a bliss to me to get a quick shower and nap before the grand camp fire. Although most of the awardees were reluctant, the campfire went fine. I was honored to be given the chance to light the fire. From there on, we sang and Akter sir danced and overall the camp-fire was a success. After that we went to sleep. The next day, everyone woke up early and prepared to leave. We loaded vans with our luggage and hurried to the train station. No sooner had we got on the train, it gave its final whistle and started to move. The train journey was itself an adventure with one of the bogies going off-track soon after we passed a small station. All in all the adventurous journey was a memorable one and a few glitches along the way will not make it any less enjoyable.

Causes and effects of childhood obesity

Causes and effects of childhood obesity Childhood obesity has become a worldwide epidemic, and the condition is now obvious much earlier in life. Thirty years ago, less than five percent of children were considered obese. Todays figures put the number of obese American children somewhere between 12 percent and 15 percent! That translates into millions of children, preteens, and teens suffering from very adult conditions like diabetes and depression related to weight gain (Tessmer, Beecher, Hagen, 2006). Overweight and obesity in childhood are recognized to have significant impact on physical and psychological health. There are several causes that lead children to become obese. Childhood obesity is now considered a disease and is diagnosed by doctors. Not all children that watch television several hours a day or are inactive or just eat mal-nutritious foods develop obesity, many children get obese because of genes inherited from their parents. Some children become obese because of their lifestyle. For example, late-day or night eating, snacking and other behavioral behaviors have influence on the progress of obesity. Moreover, social and economic conditions are shown to have a significant relationship to nutrition and dietary intake. In addition, there are certain effects resulted from childhood obesity such as physical, mental, emotional, and social effects. Obesity in childhood is responsible of early development in girls and delayed development in boys. Its also found to be associated with numerous medical problems related to physiological, metabolic, and structural changes. What is more is that obese children are more likely to develop psychological problems. Physical, social, and mental well-being is considered health related quality of life. Low self-esteem and social discrimination can be noted in obese children due to physical limitations, feelings of isolation or loneliness, and teasing from class mates. Causes and Effects of Childhood Obesity Childhood obesity has become a worldwide epidemic, and the condition is now obvious much earlier in life. Thirty years ago, less than five percent of children were considered obese. Todays figures put the number of obese American children somewhere between 12 percent and 15 percent! That translates into millions of children, preteens, and teens suffering from very adult conditions like diabetes and depression related to weight gain (Tessmer, Beecher, Hagen, 2006). Obesity is defined as a disproportionate buildup of stored fat tissue when compared to other tissues. Childhood obesity is now considered a disease and is diagnosed by doctors. Children become overweight for a variety of reasons. The most common causes are genetic factors, lack of physical activity, unhealthy eating patterns, or a combination of these factors. Moreover, socio-economic factors have influence on children, which may cause a child to become obese. In addition, there are certain effects resulted from childhood obesity such as physical, mental, emotional, and social effects. Diagnosis of Childhood Obesity Only a doctor can diagnose children for obesity by evaluating adiposity, or how much fat a person has. Adiposity can be assessed using different ways, for example, by using an underwater scale, or by an MRI, but these methods are considered excessive and expensive. Another way of evaluating children for obesity is by measuring the distribution of body fat. Also, a chart called the body mass index (BMI) is used to optimally measure the amount of fat person carries most frequently to differentiate between just an overweight child and the one who is really obese. In addition to BMI and charting weight on the growth charts, the doctor also evaluates the familys history of obesity and weight-related health problems, such as diabetes, the childs eating habits and calorie intake, the childs activity level, and any other health conditions the child may have. Causes of Childhood Obesity After the child gets diagnosed as obese, the doctor will start investigating the causes that lead this child to become overweight. To begin with, there are several causes that lead children to become obese. First of all, many children get obese because of heredity. Because of some genes inherited from parents, those children have higher risk of becoming overweight. For example, not all children that watch television several hours a day or are inactive or just eat mal-nutritious foods develop obesity. Therefore, heredity has been found to have effect on fatness, distribution of fat on body, and response to overfeeding. It has also been suggested that heredity does not only concern the genes but also resulting dietary habits, food intake, and lifestyle, including physical activity level and spontaneous interest in exercise (Paˆ¡rà ­zkovà ¡ Hills, 2004). Moreover, mothers whom are overweight are found to born neonates that are less active and gain more weight compared to ne onates born of normal weight mothers, which suggest a preserving energy inborn drive. The information taken from genes can suggest that genetic factors can take role to determine the susceptibility of adding or losing fat in response to physical activity and diet. The life style of some children also plays a role in being obese. Some behaviors, present in certain children (late-day or night eating, snacking, etc.) ease the progress or persistence of obesity. Children spend several hours each day watching television, and eating lot of snacks that is high in calorie. Food is nothing more than easy to cook energy. The potential energy is measured by the calories that are contained in specific amount and type of food. A body needs a minimum amount of calories in order to perform its basic functions, and the recommended caloric intake for this purpose varies according to age, body frame, and activity level (Tessmer, Beecher, Hagen, 2006). Obese children do not show excessive appetite fo r sweet foods. Children and adults simply enjoy foods high in fat. Ice cream, cakes, and biscuits are all examples of high fat foods which are very popular among obese and non-obese people alike. Physical activity is important for achieving proper energy balance, which is needed to prevent or reverse obesity (Flamenbaum, 2006). Moreover, distribution of body fat is affected independently by physical activity which affects body weight. Last but not least, social and economic conditions have a significant relationship to nutrition and dietary intake. For example, as income increases, the type of the diet is going more likely to change in a persistent manner. In particular, the sugar, protein and animal fat intake increases, while the intake of vegetable fat, complex carbohydrates and protein decreases. Also, if the family has a higher income, there might be an increase in take away readymade foods intake which is high in fat content or an increase in intake of meat. The lower social s upport in low social class is associated with a high food intake and higher weight of children. Another study showed that children from low-income families who were exposed to less cognitive stimulation and who had an obese mother showed an increased risk of obesity independent of other demographic factors (Paˆ¡rà ­zkovà ¡ Hills, 2004). However, the general effect of these changes in consumption behavior with the high intake of total fat is the increase in the occurrence of obesity. Effects of Childhood Obesity As a result of the above, there are certain effects that might result in children from being obese. To start with, the physical effects in childhood obesity include, for example, the increase adult morbidity in men for gout, and in women for arthritis. Obese children are usually above average height for age (Dietz, 1993). Obesity in childhood is responsible of early development in girls and delayed development in boys. For women, menstrual problems in middle age are found to be associated with childhood. Men whom are overweight during adolescence have three times more possibility to develop gout when compared with men whom where normal weight. Furthermore, Obesity in childhood is associated with numerous medical problems related to physiological, metabolic, and structural changes. Its suggested that adult obesity developed from childhood may be more problematic than adult-onset obesity due to an increased risk of the metabolic syndrome (Vanhala, 1998). Obese children have a higher ri sk for developing hypertension, high cholesterol levels, diabetes, and metabolic syndrome. Research shows that obesity in children, particularly during adolescence, persists into adulthood and is associated with an increased risk of many diseases including atherosclerosis, cardiovascular disease, cancers, respiratory disorders, gall bladder disease, infertility and several non-fatal but debilitating conditions (Flamenbaum, 2006). Obese children have approximately a threefold increased risk for hypertension compared to their normal-weight peers. The prevalence of obesity in children affected by diabetes was on average twofold from the age of 2 years onward compared to control children (Paˆ¡rà ­zkovà ¡ Hills, 2004). What is more is that obese children are more likely to develop psychological problems. Severely obese children recorded their quality of life with scores as low as children undergoing chemotherapy for cancer (Walker, 2005). Physical, social, and mental well-be ing is considered health related quality of life. Low self-esteem and social discrimination can be noted in obese children due to physical limitations, feelings of isolation or loneliness, and teasing from class mates, in example, which is frequent in young people who are obese. The age of onset of obesity, presence of emotional instability, and negative evaluation of obesity by others may predispose an obese person to a disturbed body image. These include during the formative years. Disturbances in adulthood are often commonplace in those who became obese during childhood or adolescence Depressed obese children are more likely to stay depressed all over adulthood. Prevention of Childhood Obesity The technique used to prevent childhood obesity is by keeping the weight from coming back. Such technique requires great effort as overweight is not just a hit-and-run problem, where the child can simply drop the weight and be free from obesity the rest of his life. Its always easy to get overweight than to lose weight. A child who lived a sedentary lifestyle with bad eating habits is at higher risk of getting back to such habits because such habits are just easy to follow. Its so a lot easier for children to sit at home and watch TV rather than going outside with others or alone to play. This is why parents, physicians, and nutritionists should sit together and set a plan for the child. The plan should include the restriction of fast food and soft drinks, limitation of time allocated for watching television or computer, and promotion of physical activity. However, this plan must be monitored and supervised by parents and a physician to ensure the elimination of any side effects that might occur from the prevention plan. Conclusion To summarize, childhood obesity is now considered a global epidemic. There are multiple causes that lead certain children to become obese. Genetic factors and environmental conditions play a great role in the early development of childhood obesity, but the condition varies in different countries. In addition, it appears that there are dangerous effects that result from being obese which can continue till adulthood. Therefore, parents should be aware of their children life style and the food they consume to avoid such health problems in their later adulthood. Moreover, the picture of the obese child as unhealthy, unfriendly and fat is best to prevent as early as possible. As for prevention of childhood obesity, it is also recommended that parents, physicians and nutritionists set together to set the proper plan. Nevertheless, there must be raising in alertness, consideration, and public understanding for the matter of childhood obesity

Tuesday, August 20, 2019

Gold :: essays research papers fc

Gold, nothing can compare to this precious metal. A symbol of wealth and prosperity, it has been a value for explorers and adventurers and a lure for conquerors. Today it is vital to commerce and finance; popular in ornamentation, and increasing importance in technology.   Ã‚  Ã‚  Ã‚  Ã‚  The nature of gold is diverse. The chemical element gold is a heavy, soft metal. It weighs nearly twice as much as lead. Shiny and deep yellow in color, gold is one of two metals, which are not gray or white when pure. Gold is the most ductile of metals. Properties of gold are: ? Symbol - Au ? Atomic Number – 79 ? Atomic Weight – 196.967 ? Electron Configuration - -32-18-1 ? Group in Periodic Table – 1B ? Density at 68 F – 19.3 g/cm^3 ? Boiling Point – 5,370.8 F ? Melting Point – 1,945.4 F ? Number of Protons/Electrons – 79 ? Number of Neutrons – 118 ? Classification – Transition Metal ? Crystal Structure – Cubic Facts: ? Date of Discovery – Circa 3000 BC ? Discover – Unknown ? Name of Origin – From the Old English word geolo (yellow) ? Symbol Origin – From the Latin word aurum (gold) ? Uses – electronics, jewelry, coins ? Obtained From – crust of the earth, copper ores Atomic and Chemical Properties: In it’s usual state – atomic mass number 197 – gold is stable. However, there are radioactive (unstable) isotopes of mass number 186 to 196 and 198 to 203. Gold normally exhibits a chemical valence of one or three.   Ã‚  Ã‚  Ã‚  Ã‚  Gold is the “noblest'; of the noble metals (gold, platinum, palladium, and rhodium), so termed because of their inertness, or reluctance to enter into chemical reactions. Gold will not react with common acids but is attacked by a three-to-one mixture of hydrochloric and nitric acids. This combination is called aqua regia because it reacts with the so-called royal metal. Gold will not combine directly with oxygen, but oxides may be formed indirectly. Gold will also combine with the halogens (fluorine, chlorine bromine, and iodine) and with the cyanides.   Ã‚  Ã‚  Ã‚  Ã‚  The purity of gold is expressed in Karats (KT), on a scale of 24, or in fineness, on a scale of 1,000. Pure gold is 24 Karat or 1,000 fine. An alloy containing 75 percent gold would be described as 18- Karat gold or 750 fine. History:   Ã‚  Ã‚  Ã‚  Ã‚  (Sanskrit Jval; Anglo – Saxon gold; L. aurum, gold) Known and highly valued from earliest times, gold is found in nature as the free metal and in tellurides; it is very widely distributed and is almost always associated with quarts or pyrite.

Monday, August 19, 2019

Clash with the Hurricane- Personal Narrative Essay examples -- Papers

Clash with the Hurricane- Personal Narrative The sky darkened from the blue light sky, it turned suddenly to a dark black gloomy sky hovering with a mist cloud. I walked back into the car, seemingly it was going to pour down. Heavily, the wind blew. I turned to shut the windows, but, as I looked closer out of the window, huge clouds started fusing together which then created a huge immense hurricane. I could not believe my eyes, a hurricane was coming our way. I could not believe it, even though this was so dangerous and could have many damaging effects to the environment and to the people, but from a distance it was such a magnificent phenomenon. Heavily rain poured, hitting the ground like bullets from a gun. Luckily for me, I was in my car. ====================================================================== I tried to start the car but it wouldn’t work. I turned my head again towards the window, the death trap was seemingly getting even more closer. After many efforts of trying to start the car, the car would still now move. ============================================================================ ‘What a time for the car not to work I thought to myself’. I got out of the car and looked ahead. The treacherous whirlwind was closer than ever, people now started to notice and started fearing. At this point I was thinking only one thing, ‘Those damn weather reporters never told us that a hurricane was coming our way!’ ======================================... ... ‘The trees wavered like a stand full of supporters at a football match’ here he uses a metaphor/similes . Here he compares the trees to supporters at a football match. He does this probably sarcastically. â€Å"Heavily, rained poured, hitting the ground like bullets from a gun†. Here again he uses metaphor/similes. He describes the rain falling to bullets from a gun he does this so he can show how fast a painful the rain is falling on to the people and to the environment. He also again uses the word ‘heavily’ first. He does this so he can get his message through quickly and also so he can show the importance of the weather. Clash with the Hurricane- Personal Narrative Essay examples -- Papers Clash with the Hurricane- Personal Narrative The sky darkened from the blue light sky, it turned suddenly to a dark black gloomy sky hovering with a mist cloud. I walked back into the car, seemingly it was going to pour down. Heavily, the wind blew. I turned to shut the windows, but, as I looked closer out of the window, huge clouds started fusing together which then created a huge immense hurricane. I could not believe my eyes, a hurricane was coming our way. I could not believe it, even though this was so dangerous and could have many damaging effects to the environment and to the people, but from a distance it was such a magnificent phenomenon. Heavily rain poured, hitting the ground like bullets from a gun. Luckily for me, I was in my car. ====================================================================== I tried to start the car but it wouldn’t work. I turned my head again towards the window, the death trap was seemingly getting even more closer. After many efforts of trying to start the car, the car would still now move. ============================================================================ ‘What a time for the car not to work I thought to myself’. I got out of the car and looked ahead. The treacherous whirlwind was closer than ever, people now started to notice and started fearing. At this point I was thinking only one thing, ‘Those damn weather reporters never told us that a hurricane was coming our way!’ ======================================... ... ‘The trees wavered like a stand full of supporters at a football match’ here he uses a metaphor/similes . Here he compares the trees to supporters at a football match. He does this probably sarcastically. â€Å"Heavily, rained poured, hitting the ground like bullets from a gun†. Here again he uses metaphor/similes. He describes the rain falling to bullets from a gun he does this so he can show how fast a painful the rain is falling on to the people and to the environment. He also again uses the word ‘heavily’ first. He does this so he can get his message through quickly and also so he can show the importance of the weather.

Sunday, August 18, 2019

Chinese-Middle East foreign policy :: essays research papers

  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Karl Schroeder   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Policy Update:   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  China-Persian Gulf   Ã‚  Ã‚  Ã‚  Ã‚  China’s biggest issue in the Middle East is securing the oil and gas that they will need with their continued economic growth. China has attempted to cultivate domestic oil production, but their demand for oil has continued to increase exponentially and it is clear that China will continue to need more and more Middle Eastern oil. China has made a number of big moves to help secure oil in the future. In September of 2004 China signed an agreement with Kazakhstan to establish an oil pipeline worth 3.5 billion dollars. Then in November of 2004 China signed a mega-gas deal with Iran that is worth 100 billion dollars, which could increase by up to another 100 billion. This deal entails the annual export of 10 million tons of Iranian liquefied natural gas for a 25 year period. The deal also gives China’s state oil company participation in projects such as exploration, drilling and pipeline services. The export of liquefied natural gas requires special car go ships and Iran is currently adding to its small fleet with continued expansion in the future. Many thought that China’s pipeline deal with Kazakhstan would user in a new era of Chinese foreign policy and help give China a big economic push, it is clear that this agreement was only the beginning for China’s economic expansion in the world. It is difficult to comprehend or predict the economic, political and strategic importance of this deal. It is clear that this deal was a major blow to Bush’s economic sanctions on Iran. China’s cooperation with Iran has extended to political issues as well. After the natural gas deal China said that they would be unwilling to refer the issue of Iran’s nuclear program to the Security Council. This cooperation has been beneficial for both states, China was able to secure oil and gas for the future, Iran gets political support of a major power. China also began cooperating with Saudi Arabia in the 1990s; in 1999 t hey signed a strategic oil cooperation agreement opening both states to future economic cooperation.   Ã‚  Ã‚  Ã‚  Ã‚  Oil is China’s greatest interest in the Middle East, the Middle East benefits from economically by providing China with oil, but many of the Middle Eastern states also want to purchase arms from China. China has moved more and more into arms sales as they have attempted to modernize their military and utilize their military build up.

Saturday, August 17, 2019

The Euthanasia Debate

Euthanasia is the practice of voluntarily ending a life to relieve pain and suffering (Euthanasia. com/definitions). The act of euthanasia differs from the act of murder in that the person who will die makes the decision to end their life. In the case of murder, the person does not wish to end their life, but anther person intervenes to bring about their death against their wishes. Euthanasia is categorized as active and passive (Euthanasia. com/definitions). Passive euthanasia means failure to provide life prolonging medical treatment and letting a disease take its natural course without intervention. Active euthanasia means to take measures to end a person’s life (Euthanasia. com/definitions). When the topic of euthanasia is discussed, active euthanasia is typically to what is being referred to. The debate over whether euthanasia, particularly physician assisted suicide, is acceptable is a debate of global concern. Both sides of this debate have clearly defined positions. One side feels that assisted suicide is a form of mercy killing, and under certain conditions patients have a right to assisted suicide if it is their wish. However, others clearly oppose euthanasia, claiming that regardless of the circumstances, to end someone’s life early is wrong. The following will explore both sides of the euthanasia debate. Proponents The Netherlands and Switzerland were the first countries to legalize assisted suicide for those that were suffering from a painful or deadly disease (Pollard). The issue is hotly debated, and jurisdictions around the world switch back and forth continually on the issue. On the pro side of euthanasia, it is recognized as a right of the terminally ill in order to end their suffering. It is considered to be a basic human right to die with dignity (Maisie). Proponents of the right to euthanasia propose that the right to die is a natural extension of a person’s right to make their own decisions on any other topic regarding their (Maisie). The concept that a person has a right to decide whether their life has value to them or not is considered to be a basic human right (Maisie). The right to take one’s own life by suicide is considered to be unacceptable in many cultures, therefore it is looked down upon as culturally unacceptable. However, suicide differs from euthanasia in that a person does not have a condition that would shorten their life, or place them in unbearable pain that is not expected to cease (Euthanasia. com/reasonsforeuthansia). People who commit suicide would have hope for a better quality life if they receive help (St. Clair, 2009). Those who consider euthanasia are exercising their right to end their own suffering. Doctors are at the center of the euthanasia debate. They are in a position where they have an oath to do no harm. Preserving a life of suffering against the wishes of the patient, or ending that life can both be considered doing harm (St. Clair, 2009). Patients have the right to refuse any medical treatment that is against their wishes (Maisie). It is considered to be contradictory to disallow them the ability to end their life in order to end suffering (Maisie). Many of those who support euthanasia do so on the basis of preserving human rights and dignity. Opponents However, those that oppose the right to die do so based on fears that it might be abused, and become a form of legalized murder (Maise). Concerns arise over legal heirs who might promote euthanasia for financial gain, or perhaps doctors who would hasten a death in order to receive an organ transplant (Maise). Opponents bring up many scenarios that would make the bioethics surround the issue even more difficult to resolve. For instance, would a mental illness be considered sufficient emotional pain to justify euthanasia, or would the person be considered to be incapable of making a rational decision in this regard (Hershey)? There are many such issues that weigh into the decision of whether to consider euthanasia to be a reasonable course of action. How to assess whether a person is actually competent to make their own decision when they are under the influence of heavy pain medication is another issue in the euthanasia debate (Hershey). The arguments by both proponents and opponents are largely hypothetical. The circumstances of each case make it difficult to generalize and create effective policy regarding the issue. Both sides have valid points. The arguments of both proponents and opponents are supported by hypothetical situations and scenarios that have come into existence. This makes the issues surrounding the development of uniform legal and moral policies about euthanasia so difficult because of the many different circumstances. The issues surrounding euthanasia are highly emotional and highly personal. In conclusion, the central debate that is at the heart of the euthanasia issue can be reduced to that of human rights. If the person decides to end their life and they have no hope of recovery, then the question shifts from care to whether or not they have a right to end their own life. They have a right to make other medical decisions about their own care, and they have the right to determine if they wish to be resuscitated if they should go into cardiac arrest (Patients Rights Council). They can make a living will and determine if they wish to have life-saving or even life-preserving measures should they become brain dead (Patients Rights Coucil). However, the issues regarding assisted euthanasia are complex and both sides viciously defend their position.

Friday, August 16, 2019

From Regional Star to Global Leader Essay

Yang Jianguo was recently promoted from country manager for China to global head of product development at a French perfume maker named Deronde. He had been country manager for the China operations, having been promoted from his job running a lab that had produced two hit scents in the Asian market. The company’s CEO, Alain Deronde had chosen Jianguo over three other rising stars. Yves Saurac, one of the three rising stars, was the vice president of the company who everyone had assumed to get job instead of Jianguo. Yves was also close friend with the CEO’s family but Jianguo succeeded in the competition. Jianguo was eager to succeed in his new role in Paris. There were several issues to deal with in the first place. The company’s best prospects were in emerging markets, yet consumers in China and many other Asian markets found the Western scents unpleasantly strong. Sales were weak in Latin America as well. Given that after decades of double digit growth, Deronde’s market share was also sliding. Jianguo had no doubt that he had some winning ideas, but they seem to be falling on deaf ears. During the Jaingguo’s pitch at the board meeting, everyone at the meeting felt unease about Jiangguo’s idea pitch. Members of the executive team, for their part, find Jianguo to be largely indifferent to their input. Those other board members, including the three rising stars kept opposing to Jianguo’s ida pitch. He was getting nowhere. Jianguo’s first pitch to board members turned out to be very disappointing. Those three are competitor, but they had known each other for years and as a result, they also shared degree of trust. When, three of them had a moment to connect privately, Yves expressed his earnest concern about company’s future and how Jianguo avoid talking to him about the issue of connecting Eastern and Wes tern culture. Problems at hand indentified – what needs to be changed As the world embraces the global economy, modern corporations might need to promote diversified management staffs in order to keep pace in the emerging market economy. Thrusting onto the world stage, Jianguo Yang became a new  generation regional managers in French perfume company. Even he equipped with intimate knowledge of local market and local Chinese management skill but differences in national and corporate cultures within the same organization can pose significant hurdles in a new environment. Different attitudes and behaviors of new colleagues might make him a hard time to work and get familiar with. The persuasive argument and strong communication might help someway but the most importance is to understand the diversified peers’ culture and adapt to it. Making the transition to the global arena can be challenging so can Jianguo make the transition? And what should Jianguo do? Analysis of causes From regional star to global leader, from a Chinese local manager to a multi-national executive, a lot of things have changed for Jianguo. It seems, on the surface, it is a good thing. But this transition period is actually very tough to handle. It is very easily to change into a bad thing. Jianguo is facing a turning point. The teammates wouldn’t like to cooperate with him. His superior has some misunderstanding towards him. He was uninvolved in strategic thinking, feeling frustrated and confused. In fact, his problem is resulted from three aspects. First aspect is the cultural difference. Jianguo came from China. In Chinese companies, the main organization structure is hierarchy. What does it mean? It means that employees report to his direct head. Department employee reports to department manager. Department manager reports to general manager. Leapfrog report is definitely taboo. The logic is supposed to be like this. However, in French companies, they mainly worship flat organizational structure. It is totally a different picture. The term â€Å"Leapfrog report† never exists under this circumstance. The General Manager welcomes every single employee to report direct to him. For Jianguo, as a Chinese, he doesn’t know that. So when he found his French employees leapfrog reported to his head instead of him. The conflict turns up. He didn’t feel well. He held bias and misunderstanding towards his employees. Besides, in Chinese culture, the employees get used to move under the team  head’s order, which is identified as top-down organization style. Jianguo gets used of this mode. He never listened to his subordinates suggestions. Instead, he intended to give orders. In French, the organizational style is bottom-up. You listen and you make decisions. Secondly, it goes to role difference. Jianguo was once a Chinese local manager. Now he is a global company’s executive. The role has changed, with a lot of things following. In the past, his decision making was mainly on intuition, experience and anecdotes. Now, his decision should be based on strategic thinking and data, which means more scientific and logic. In the past, his leadership type was transactional, which means he was a task driven manager. Now he should become transformational, which means he has to inspire his team members, to listen to them and to communicate to them. Also the focus and the political wisdom are different now. I got a table to illustrate as follows. Thirdly, it has to go to the ineffective communication. Jianguo might be a smart guy based on his outstanding achievement in the former position, and obviously he has a lot of good ideas for marketing in the new position. But  he did really a bad job to promote himself and his ideas. His colleagues didn’t buy it. He never initiates a deep talk with his subordinates. He doesn’t know what kind of people he is working with. He never listens to them patiently, given that he seems too eager to prove his capabilities. He shows no respect to his teammates. What was worse, he never penetrates his ideas to his superior. He didn’t know what kind of character his superior was and what kind of marketing direction he was in favor of. During their meeting, Jianguo failed to notice the fact that the superior felt unease to his idea. Jianguo just focused on his own idea and himself. This ineffective communication may ruin his career. Evaluation of the actions in the case Jianguo was not dynamics enough to acclimate himself to new working role and multicultural environment. Working culture and environment in French company would be definitely different and beyond what he had anticipated. Being only one promoted he probably could not rely to the colleagues who feel betrayed as much as he would do in the previous role. Jianguo had many options to deliver some quick wins and demonstrate his value so the colleagues could make themselves look bad by becoming his enemies. So now the leadership and communication skill would play important role if he would like to keep pace in his career development further. To succeed, Jianguo had to make some changes in his beliefs and behavior. Approaches to solve the problem The problems encountered in this case can be viewed from two aspects: the aspect of Jianguo Yang and the aspect of the organization. Jiangguo Yang should make some changes to fit the organization; meanwhile the organization should also make some change for further development. In this case, three experts give their commentary advices, which mainly on the aspect of Jianguo Yang. However, in our approaches to solve the problem, the aspect of the organization will be the main part. There are two reasons for this. First, fairly speaking, for Jianguo Yang, the experts have already given some very good advices, which we don’t want to challenge on. Besides the truth that the advices are really practical and effective, at least we think so, these experts are very experienced and insightful. They are Katherine Tsang, the  executive vice chairman and CEO of Standard Chartered Bank in Shanghai, Mansour Javidan, the dean of research and the Garvin Distinguished Professor at Thunderbird School of Global Management in Glendale, Arizona, and James Champy, the chairman of consulting for Perot Systems and a coauthor of Reengineering the Corporation (Harper, 1993). Mansour Javidan is also the president and chairman of the board of the GLOBE research project. He has lived or worked in 22 countries. Second, we think characteristics of an organization, such as organization structure, organizational culture and organizational change, are no less important than the humane issues in a company. This is also an very important topic in Organizational Behavior. Before we moved on, we should notice that they did notice the side of the organization. Although the three experts are all focusing on the side of Jianguo, one expert, James Champy, mentioned some about the organization. He said that â€Å"Deronde International needs to adjust as well. If the company is serious about making a global move, Alain should take his whole team through some sort of cultural appreciation and immersion process. Culture begins at the top, and in this company the executives seem comfortable stereotyping anybody who doesn’t look and speak the way they do. It’s no surprise that Alain’s direct reports aren’t comfortable with Jianguo. I’m not entirely optimistic about Deronde’s chances for transformation, however. Company cultures and behaviors don’t budge easily – especially if the CEO has more of an appetite for foie gras than for change.† However, this comment is not very practical and detailed. Now, let’s talk about why the organization needs to change and how. The value of Jianguo is not fully used in the company. Reasons are already talked in the former part. However, we need to see his values and that is the reason for the company to make some change to fully use the potential of its employees. Jianguo’s value can also be proved in James Champy’s comment. ‘In my experience, in a family-run business, loyalty and comfort trump other considerations. Look at Ford Motor: Young Bill Ford was not ready to run that business. The company has continued to lose market share, but the family seems to be comfortable with a trusted person at the helm. So I was surprised that Alain had chosen Jianguo. It would have been so much easier to choose Yves, whom he knows and trusts. Yet Alain seems to have made a clever strategic choice. Presumably, he sees that in a recession, Deronde’s prospects for growth lie primarily in emerging  markets. Jianguo appears to be connected to the young Chinese consumer, and Alain evidently has the smarts to connect the dots.’ Having known all the facts above, what changes should the company make? The bureaucracy form both sides, Chinese and French, should be reduced. Although the bureaucracy has some strength, such as functional economies of scale, minimum duplication of personnel and equipment, enhanced communication and centralized decision making, in this case the inefficiency of communication is large due to the bureaucracy in the minds of people from both sides. The weaknesses of bureaucracy are subunit conflicts with organizational goals, obsessive concern with rules and regulations and lack of employee discretion to deal with problems. Here is an example for this. â€Å"Jianguo began with a quick review of the ideas he had pitched at lunch the day before and then launched into his proposal for a line of skin care products aimed at young men. He thought he had the perfect spokesman: Olympic hurdler Liu Xiang. â€Å"Will people know who he is?† Yves asked. â€Å"Outside China, I mean?† He looked around the room. â€Å"Yes, China matters, but let’s not forget that most of our customers aren’t in third world countries.† Jianguo moved on without comment. â€Å"Before we can even start talking about new products for these markets,† How can we change the organization? We want to use the Lewin’s Three-Step Change Model. The three steps are unfreezing, movement and refreezing. There are two forces, driving forces and restraining forces. Driving forces are forces that direct behavior away from the status quo. Restraining forces are forces that hinder movement from the exiting equilibrium. Unfreezing is to change efforts to overcome the pressures of both individual resistance and group conformity. Refreezing is stabilizing a change intervention by balancing driving and restraining forces. What we learned from this case From what we discussed above about this incident in the case, we learn quite a lot about how to face an issue like that, how to analyze it in terms of organizational behavior theories. On one hand, we can see that the organizational behavior issues commonly exist in the organizations and this kind of issues are not only important for healthy development of the organizations but also complicated and very sensitive. On the other hand, to avoid this kind of thing happen, to solve this kind of things, both the  organization and the person mainly concerned should make efforts. For avoiding, the organization or the superior should take more responsibilities. The whole organization should cultivate a more flexible mechanism of decision making under the situation of such a big but necessary high-level personnel change for company’s strategic movement. As a superior, it must consider carefully and completely about the problems probably confronted with before making such a decision. First, Pay attention to cultural difference. In this case, due to the existing cultural difference, he should create some chance for Jianguo, to let him own the working experience in different cultural, like working in the overseas branch or in the department with different cultural atmosphere. Second, do enough preparation for promotion. Appointing the person to assist the superior whose position he will be promoted to or make his job rotated in different departments or branches should be a good preparation for promoting him. Third, cultivating a teamwork spirit is important to become a good leader. For solving the problems, the person mainly concerned, like Jianguo in the case, should take more responsibilities. First, he should analyze the cultural difference, the role difference and make an effective and efficient interaction with his colleagues. In other words, he should change himself according to this new environment, and make achievements which can help him get higher trusted by his opposites. In mutual trusted circumstance, he can promote his idea more easily. Second, he must started to learn more about the market, and convince others with scientific research, like doing field survey, get learned more accurate figures, which can improve his ideas and make his arguments more supportive and persuasive. Last but not least, he should find a breach to reverse negative trend, and this breach is Alain, who promoted him to such a position. Alain can consider this whole issue on a higher position and in an all-round manner. The consensus between such two main persons involved definitely would help the whole issue move towards the better direction. In conclusion, this kind of issue is caused by three problems, including cultural difference, role difference, and ineffective communication. So, to deal with this issue need to minimize cultural difference, minimize role difference, and improve communication. The solutions we mentioned above along with the suggestions given by three experiences persons in the case, should make good sense, and solve the  problem the company faced in the case. In current situation, the most key person for dealing with this problem is still Jianguo. Only if he deals with this issue in the ways we suggested above, be patient, and get co-operated by Alain, it is believable that he can change the current situation and realize the original strategic intension they expected successfully.